Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.68 / $337.44 / $465.13	Professional		$302.68	$337.44	$465.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $352.21 / $526.95	Professional		$352.21	$352.21	$526.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.55 / $498.21 / $834.92	Professional		$314.55	$498.21	$834.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $450.97 / $592.10	Professional		$349.59	$450.97	$592.10
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $405.16 / $697.46	Professional		$289.39	$405.16	$697.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $402.03 / $500.76	Professional		$349.59	$402.03	$500.76